Individual
GRACE ELIZABETH BERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLBSW, QIDP
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6852091240
MI
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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